A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?
"You are retaining a lot of sodium and potassium and that causes you to gain water weight"
"Your kidneys are not working correctly, so they can't get rid of extra water from your system"
"The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you."
"You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight."
The Correct Answer is D
A. "You are retaining a lot of sodium and potassium, and that causes you to gain water weight.": SIADH involves dilutional hyponatremia, not retention of sodium and potassium.
B. "Your kidneys are not working correctly, so they can't get rid of extra water from your system.": SIADH results from excessive secretion of antidiuretic hormone (ADH), not kidney dysfunction.
C. "The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you.": SIADH causes water retention, not increased appetite.
D. "You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight.": This accurately explains that excess ADH leads to water retention, causing weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Clammy: Hypoglycemia often causes diaphoresis, resulting in clammy skin.
B. Tachycardia: The release of epinephrine in response to hypoglycemia leads to tachycardia.
C. Blurry Vision: Neuroglycopenia from insufficient glucose to the brain can result in visual disturbances like blurry vision.
D. Dry Skin: Dry skin is more indicative of hyperglycemia or dehydration, not hypoglycemia.
E. Warm/Hot Skin: Warm or hot skin is associated with fever or hyperglycemia, not hypoglycemia.
Correct Answer is D
Explanation
A. Weight gain: Excessive levothyroxine leads to hyperthyroidism, which typically causes weight loss, not gain.
B. Bradycardia: Bradycardia is a symptom of hypothyroidism, not hyperthyroidism from excessive levothyroxine.
C. Decreased temperature: Low body temperature is a sign of hypothyroidism, not hyperthyroidism.
D. Tachypnea: Overdosing on levothyroxine can cause hyperthyroidism, leading to increased metabolic rate and symptoms such as tachypnea.
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